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Exam (elaborations)

PEARSON EXAM CRAM NCLEX RN TEST #1 MED SURG EXAM WITH ALL ANSWERS CORRECT

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PEARSON EXAM CRAM NCLEX RN TEST #1 MED SURG EXAM WITH ALL ANSWERS CORRECT

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1. The client is admitted to the emergency room with s
shortness of breath, anxiety, and tachycardia. His e
ECG reveals atrial fibrillation with a ventricular re- g
sponse rate of 130 beats per minute. The doctor m
or- ders quinidine sulfate. While he is receiving e
quini- dine, the nurse should monitor his ECG for: n
a Peaked P wave t
b Elevated ST

,c Inverted T wave
d Prolonged
d Prolonged QT interval
QT interval

Quinidine can
cause widened
Q-T intervals
and heart
block.

,2. A client with ascites is scheduled for a paracentesis. b. "You need to
Which instruction should be given to the client d. "The
before the procedure? doctor
a "You will need to lay flat during the procedure." will inject
b. "You need to empty your bladder before the a
proce- dure." medicati
c. "You will be asleep during the procedure." on during


, the procedure." M
y
3. A client's lab values reveal Hgb 12.6, WBC e
6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136, and l
platelets 178,000cu.mm. The nurse evaluates that o
the client is experiencing which of the following? s
Hypernatremia u
b Hypokalemia p

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